We investigated the effect of cyclosporin A, an inhibitor of T helperhnducer lymphocyte activation, on the dtwelopment of streptococcal cell wall-induced arm thritis and hepatic granulomas in female LEW/N rats. Continuous daily treatment with cyclosporin A, begun either 24 hours before or 7-12 days after streptococcal cell wall administration and continued for 6 weeks, resulted in significant inhibition of the chronic proliferative, erosive synovitis and total inhibition of hepatic granuloma formation. When cyclosporin A was stopped at 6 weeks, its effects continued for at least another 5 weeks, demonstrating long-term benefit without continued administration of the drug. In contrast, therapy given only during the acute phases of the experimental disease (days 1-12) did not inhibit the development of chronic disease. Cyclosporin A had no apparent effects on str'eptococcal cell wall antigen distribution or persistence in tissues. These data provide additional evidence of an important role for the T helperhnducer lymphocyte in the experimental model and suggest that cyFrom the Arthritis and Rheumatism Branch, National Institute (of Arthritis, Diabetes, and Digestive and Kidney Diseases,